HomeMy WebLinkAboutForm 497 Heather Newsom 091718497 Contribution Report Amounts may be rounded to whole dollars.
NA OF FILER4
( & ' `
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
*
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
Date Of
This Filing A
,
IS
Date Stamp
RECEIVED_
I ,
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
.
((�� pp (' I,, /'Q,�., � �
l Aujo OF Scm (, k s O 4-' � SPCA l ei liwl,
I
1560.0-0
AREA CODE/PHONENUMBER
I.D. NUMBER ffapplicable) CL+,
-� _1
For Official Use Only
4D4-01 0� 2_ I
f L
'f
�
Report No.
0
El Amendment
SEP 1 7 2018
_
❑ PTY
STREETADDRESS
to Report No.
(explain below)
CITY OF ATASCADERO
Provide interest rate
CITY STATE ZIP CODE
No. of Pages
`
CITY CLERIC'S OFFICE
1. Contribution(s) Received
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
CONTRIBUTOR
*
IF AN INDIVIDUAL,
ENTER OCCUPATION AND EMPLOYER
AMOUNT
- RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER).
CODE
(IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
RECEIVED
((�� pp (' I,, /'Q,�., � �
l Aujo OF Scm (, k s O 4-' � SPCA l ei liwl,
❑ IND
1560.0-0
❑ COM
4D4-01 0� 2_ I
j d
OTH
0
❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rate
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
Provide interest rate
r.
;,r
❑ IND
❑ COM
❑ OTH
❑ Check if Loan
❑ PTY
❑ SCC
o°
Provide interest rate
Reason for Amendment:
'Contributor Codes
IND — Individual
COM — Recipient Committee (other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 497 (1ul/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
ca
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